Bcp 1, LLC

NPI #1124603402 in Dyersburg, Tennessee

Provider Information

NPI Number: 1124603402
Entity Type: Organization
Organization Name: Bcp 1, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 2490 PARR AVE STE 9
City: Dyersburg
State: Tennessee
ZIP Code: 38024-2030
Phone: (731) 285-0844

Authorized Official

Name: MARK BARRETT BROOKS
Title: AO
Phone: (731) 513-0882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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